The analysis of the outcomes of 23 surgical interventions for the formation of AV grafts in patients with end-stage chronic renal failure using synthetic prostheses (Venoflow) (n = 10), vascular xenobioprostheses «KemAngioprosthesis» (cattle artery structured with 5 % diepoxide solution, n = 9) and translocated v. saphena magna (n = 4), performed for the period 2018-2021. Installation of AV grafts based on a xenobioprosthesis in patients with end-stage chronic renal failure was associated with a lower incidence of early and late postoperative complications and a higher survival of the vascular access.